Susan Gail Mason | New York, NY • PECOS Search

Susan Gail Mason

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

330 Seventh Avenue, 20th Floor, New York, NY 10001

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Gail Mason does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 10 days ago.

Profile Details

Provider ID
1912134958
Provider Type
Individual
Full Name
Mason, Susan Gail
Title
Ms.
Credential
M.S.,SPEECH-LANGUAGE

Gender
Female
Sole Proprietor
No
Enumeration Date
6/17/2009
Last Updated
6/17/2009

Contact Information

Practice Location

330 Seventh Avenue, 20th Floor, New York, NY 10001

Unlisted Fax

Mailing Location

2 Townhouse Place, Apt. 2l, Great Neck, NY 11021

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 002085-1 New York